| Tamara Maddox, | |
|
602 Sw 38th St, Lawton, OK 73505-6912 | |
| (580) 248-5780 | |
| Not Available |
| Full Name | Tamara Maddox |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 602 Sw 38th St, Lawton, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275266306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | L0064562 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Maddox, 602 Sw 38th St, Lawton, OK 73505-6912 Ph: (580) 248-5780 | Tamara Maddox, 602 Sw 38th St, Lawton, OK 73505-6912 Ph: (580) 248-5780 |
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